Individual
MICHELLE MARCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
473 W ARMY TRAIL RD STE 107, BLOOMINGDALE, IL 60108-2674
(224) 520-8562
Mailing address
473 W ARMY TRAIL RD STE 107, BLOOMINGDALE, IL 60108-2674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015078
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056.015078
OT LICENSE (IDFPR)
IL
Enumeration date
09/26/2022
Last updated
09/26/2022
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